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Nicole Renee Brunaugh, NP
Primary Care Nurse Practitioner in Alton, Illinois
NPI 1750958351

Nicole Renee Brunaugh is a Primary Care Nurse Practitioner based in Alton, IL and is specialized in Primary Care. Nicole Renee Brunaugh practices in Alton, IL and has the professional credentials of NP. The NPI Number for Nicole Renee Brunaugh is 1750958351 and holds a License No. 209022501 (Illinois).

The current practice location address for Nicole Renee Brunaugh is #2 Memorial Dr., Alton, IL and can be reached out via phone at 618-463-7246.

Location: #2 Memorial Dr., Alton, IL, 62002-6723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750958351
Provider Name
Nicole Renee Brunaugh
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
#2 Memorial Dr., Alton, IL, 62002-6723
Phone Number
618-463-7246
Fax Number
Provider Enumeration Date
06/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
#2 Memorial Dr.
City
Alton
State
Illinois
Zip
62002-6723
Phone Number
618-463-7246
Fax Number
person
Provider Business Mailing Address Details
Address
#2 Memorial Dr.
City
Alton
State
Illinois
Zip
62002-6723
Phone Number
618-463-7246
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
209022501 (Illinois)
Definition
Definition to come...
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